ATI RN
ATI Pharmocology Exam Fletcher NRSG 106 Questions
Extract:
Question 1 of 5
A patient has been taking donepezil for 2 weeks as part of the treatment for early stages of Alzheimer's disease. Her daughter calls the prescriber's office and is upset because 'Mother has not improved one bit!' Which response by the nurse is appropriate?
Correct Answer: D
Rationale: Donepezil may take up to 6 weeks to show therapeutic effects, providing an accurate expectation.
Question 2 of 5
The nurse is reviewing the food choices of a patient who is taking a monoamine oxidase inhibitor (MAOI). Which food choice would indicate the need for additional teaching?
Correct Answer: B
Rationale: Pepperoni contains tyramine, which can cause a hypertensive crisis with MAOIs, indicating a need for further teaching.
Question 3 of 5
A nurse is caring for a client who has schizophrenia and is taking haloperidol. The nurse should monitor for which of the following adverse effects of haloperidol?
Correct Answer: D
Rationale: Haloperidol, a first-generation antipsychotic, commonly causes extrapyramidal symptoms like dystonia and parkinsonism.
Question 4 of 5
A 6-year-old boy has been started on an extended-release form of methylphenidate hydrochloride for the treatment of attention deficit hyperactivity disorder (ADHD). During a follow-up visit, his mother tells the nurse that she has been giving the medication at bedtime so that it will be 'in his system' when he goes to school the next morning. What is the nurse's appropriate evaluation of the mother's actions?
Correct Answer: A
Rationale: Methylphenidate at bedtime can cause insomnia; it should be given earlier to optimize daytime symptom control.
Question 5 of 5
A nurse is performing discharge teaching for a client who has seizures and a new prescription for phenytoin. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: D
Rationale: Phenytoin is a long-term therapy for seizure control; stopping it abruptly can cause rebound seizures, indicating a need for further education.